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Organization

TENNESSEE DENTAL PROFESSIONALS, PC

Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Enclave Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
1728 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-9381
(423) 671-7550
(423) 671-7551
Mailing address
1728 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-9381
(423) 671-7550
(423) 671-7551

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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